Lift and VAAFT for high trans-sphincteric anal fistula: a single center retrospective analysis
| Autor: | M Campanelli, Giorgio Lisi, M La Torre, M Boccuzzi, Simone Maria Tierno, M Varriale, E D'Agostino |
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| Rok vydání: | 2020 |
| Předmět: |
Anal fistula
medicine.medical_specialty Manometry Cutaneous Fistula Fistula Anal Canal Video-Assisted Surgery Physical examination 03 medical and health sciences 0302 clinical medicine Recurrence Endoanal ultrasound medicine Humans Rectal Fistula Fecal incontinence Treatment Failure Abscess Ligation Retrospective Studies Pain Postoperative Wound Healing medicine.diagnostic_test business.industry Anorectal manometry Perianal Abscess Gastroenterology medicine.disease Surgery 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology medicine.symptom business Fecal Incontinence Follow-Up Studies |
| Zdroj: | International Journal of Colorectal Disease. 35:1149-1153 |
| ISSN: | 1432-1262 0179-1958 |
| DOI: | 10.1007/s00384-020-03584-0 |
| Popis: | The management of complex anal fistulas remains a challenge, mainly due to the considerable risk of incontinence. We compared LIFT and VAAFT in the treatment of complex anal fistulas in terms of healing time, recurrence, continence, morbidity, and postoperative pain, focusing also on patients with local abscess at the time of surgery. We include all patients with high trans-sphincteric anal fistula even with abscess at the time of surgery. Anorectal manometry, endoanal ultrasound, Cleveland Clinic fecal incontinence score, VAS score, and number of previous fistula treatment were recorded. The clinical examination defined healing, insufficiency or recurrence of the fistula. Fifty-four consecutive patients are undergoing surgery: 26 patients underwent LIFT and 28 underwent VAAFT. During the 18 months of follow-up there were no differences in terms of AM, CCFIS and VAS scores. Days of healing, failure, and recurrence rate were comparable in both groups. The subgroup of patients with local abscess undergoing LIFT showed worse results in terms of failure and recurrence rate (p |
| Databáze: | OpenAIRE |
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